Theodore M Petkov, MD
NPI #1184616575 in Johnson City, New York
Provider Information
- NPI Number
- 1184616575
- Entity Type
- Individual
- Name
- Theodore M Petkov, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- MD
- Enumeration Date
- Aug 22, 2005
- Last Updated
- Nov 19, 2011
Practice Location
- Address
- 33-57 HARRISON ST
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790-2143
- Phone
- (607) 763-6412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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